Individual provider · Type 1 NPI

Brian Ezra Bates, CADC-I

Addiction (Substance Use Disorder) Counselor · Fort Oglethorpe, GA

NPI number 1053800813 Active

Practice location

2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510

Call (706) 861-9390 Map

Fax (706) 866-4740

Mailing address

1770 Piedmont Ln
Cumming, GA 30040-9315

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X895 (GA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053800813

Brian Ezra Bates, CADC-I's National Provider Identifier is 1053800813, issued on May 8, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on May 8, 2018.